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Feb 13 1703:34p Dan Naumann Trucking LLC 7195466102 p.5 <br /> Page 5 of 5 <br /> Division records indicate the following permittee contact information. If this information is not current,please typc or print <br /> current contact information: <br /> Permittee Contact: James D. Branch <br /> Pemuttee Company: HCR High Country Repair <br /> Address: 2632 McCormick Ave. <br /> Pueblo,CO 81001 <br /> Phone Number: (719)240-3827 <br /> Fax Number: <br /> '--I 19— S LA(o— 61 oz <br /> Email Address: JLDB713@msn.com <br /> I, the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are <br /> being conducted in accordance with the Division approved mining and reclamation plans. <br /> Si ature of Permittee,Corporate Officer, Owner,or Documented Desi ng_ee Date <br /> 4F-GI <br />